by Dr. Philip J. O’Donnell | Jan 1, 2025 | Articles
We now begin the magazine’s second calendar year. We shall summarize what was reviewed in the early part of the magazine. The US spends $4.5 trillion/year on healthcare or $13,493/person(2022) each year, the highest cost per capita of any developed country in the...
by Dr. Philip J. O’Donnell | Dec 15, 2024 | Articles
The principal goal of this magazine is to promote cost reduction while maintaining or more ideally improving the quality of medical care. The discussion in the first year of OMRUM’s existence has largely focused on the “big strokes” of difficulties with medical care...
by Dr. Philip J. O’Donnell | Nov 15, 2024 | Articles
In the previous article, the term “siloed physician care” was introduced. Physicians who practice in this manner see their roles as narrow in their patients’ care. Often, they don’t see themselves as obligated to any greater purpose in a patient’s management. For any...
by Dr. Philip J. O’Donnell | Nov 1, 2024 | Articles
As an internist (a PCP for adults), one of my greatest challenges was finding a good specialist pool when referral was necessary. A specialist should be well-trained, judicious in use of resources, and at least reasonable in bedside manner. Interestingly enough, the...
by Dr. Philip J. O’Donnell | Oct 15, 2024 | Articles
Few issues affect society at so many levels as does the current controlled substance debacle and arguably the opioid crisis in particular. It disproportionately exists within poorer and less educated communities. It draws resources from law enforcement at the federal...
by Dr. Philip J. O’Donnell | Oct 1, 2024 | Articles
So, we will now resume development of how best to measure factors influencing the future cost of care for a patient. In Part I, the idea was brought up of measuring patient fitness as a good surrogate of future cost of care for the patient. A simple starting point for...
